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MHS Rates : Pharmacy

Pharmacy Rates

Pharmacy rates are derived from the Managed Care Pricing File (MCPF) supplied by the Defense Supply Center - Philadelphia (DSCP) and are based on TRICARE allowable charges, Average Wholesale Price (AWP) or Prime Vendor Program (PVP) prices listed for the National Drug Codes (NDCs) in the MCPF. Rates are established on a unit measure price basis (e.g., cost per tablet) and are standardized for NDCs within each generic sequence number (GSN). A GSN groups a set of NDCs with the same active ingredient(s), dosage form and strength regardless of vendor brand name or generic designation. Prior to the August 2006 pharmacy table update, rates were computed for each GSN based on the lowest unit measure price for any NDC within that GSN. Currently rates are computed based on the median unit measure cost for all of the AWP listed NDCs in each GSN group. The median unit measure price is applied to all the NDCs in that GSN group. When there are no AWP listed NDCs in a GSN group, the rate for the NDCs in that group is set to the median unit measure price of the PVP listed NDCs in that GSN group. As of January 2010, unit measure prices will reflect the median TRICARE allowable ingredient costs.

Available pharmacy rate tables are listed below. Because of the size of these files, downloading may take a few minutes.


Historical pharmacy rate files can be found on the Archives page.

Estimating Pharmaceuticals Costs

The UBO has developed pricing estimators to assist pay-patients and other government organizations with estimating the costs of pharmaceuticals provided by DoD. The Pharmaceutical Price Estimators are available through the links below or from the UBO Helpdesk. Running the pharmacy estimator requires Microsoft Access version 2003 or newer. Links to recent versions of the estimators are provided below.

Pharmaceutical Price Estimator - Effective 02-17-14 - Access 2003 zip 9293.9 KB
(posted 02-18-2014)

Pharmaceutical Price Estimator - Effective 2-17-14 - Access 2007 zip 13775.7 KB
(posted 02-18-2014)

Pharmaceutical Price Estimator - Effective 8-19-13 - Access 2003 zip 11716.7 KB
(posted 08-13-2013)

Pharmaceutical Price Estimator - Effective 8-19-13 - Access 2007 zip 14206.8 KB
(posted 08-13-2013)

DoD Pharmaceutical Price Estimator Effective 02-16-2013 Access 2003 zip 9254.6 KB
(posted 02-13-2013)

DoD Pharmaceutical Price Estimator Effective 02-16-2013 Access 2007 zip 13579.4 KB
(posted 02-13-2013)

DoD Pharmaceutical Price Estimator - Effective 8-6-2012 - Access 2003 zip 9335.0 KB
(posted 08-01-2012)

DoD Pharmaceutical Price Estimator - Effective 8-6-2012 - Access 2007 zip 14379.5 KB
(posted 08-01-2012)

DoD Pharmaceutical Price Estimator Effective 02-29-2012 Access 2003 zip 12749.4 KB
(posted 02-20-2012)

DoD Pharmaceutical Price Estimator Effective 02-29-2012 Access 2007 zip 13641.6 KB
(posted 02-20-2012)



Historical Pharmacy Price Estimators are available in the Archives page.




Contact us:

For questions or comments, please e-mail UBO.Helpdesk@altarum.org, or leave a message for the Helpdesk staff at (571) 733-5935. Phone messages will be returned within one business day.

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